Organization
NEW HORIZONS NORTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LANG (EXECUTIVE DIRECTOR)
(715) 682-7171
Entity
Organization
Contact information
Practice address
1215 N AIRPORT RD, PHILLIPS, WI 54555
(715) 339-6248
(715) 339-6247
Mailing address
1215 NORTH AIRPORT RD, PHILLIPS, WI 54555
(715) 339-6248
(715) 339-6247
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
1061-800
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3131
WISCONSIN STATE CSP CERTIFICATION LINCENSE
WI
Enumeration date
05/06/2016
Last updated
05/06/2016
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